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General NPI Number Information
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NPI Number | 1902826456
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY CLINIC OF MARIN & SAN FRANCISCO
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1000 SOUTH ELISEO DRIVE SUITE 101
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City | GREENBRAE
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State | CA
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Zip | 94904
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Country | US
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Telephone | 415-461-8909
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Fax | 415-461-1660
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Provider Business Mailing Address
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Address Line | 1000 SOUTH ELISEO DRIVE SUITE 101
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City | GREENBRAE
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State | CA
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Zip | 94904
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Country | US
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Telephone | 415-461-8909
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Fax | 415-461-1660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCHUMAN TAM
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Credential | M.D.
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Telephone | 415-751-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G063486
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License Number State | CA
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